Health Practice Notes

Premium Review Work Group practice note on Actuarial Practices Relating to Preparing, Reviewing, and Commenting on Rate Filings Prepared in Accordance with the Affordable Care Act, providing information on general rate filing requirements and considerations related to the URRT adn actuarial memorandum. (December 3, 2015)
Exposure draft of a new practice note related to rate filings, review, and disclosure under the Affordable Care Act for calendar year 2015 and beyond. Comments on the exposure draft should be submitted by Oct. 27. (October 26, 2014)
Practice note by the Minimum Value Practice Note Work Group on the calculation of minimum value and actuarial value under the Affordable Care Act (ACA), which includes a discussion of plan designs not accommodated by the calculators. (April 24, 2014)
Exposure draft of a new practice note related to determinations of minimum value and actuarial value under the Affordable Care Act (ACA). Comments on the exposure draft should be submitted by September 30. (August 12, 2013)
Update of the Large Group Medical Business Practice Note by the Large Group Medical Business Practice Note Work Group. (August 7, 2013)
Exposure draft of an addendum to the October 2012 practice note, Actuarial Practices Relating to Preparing, Reviewing, and Commenting on Rate Filings Prepared in Accordance with the Affordable Care Act. Comments on the addendum, which highlights changes to the rate review and disclosure requirements since the initial practice note was finalized, are due by June 3. (April 26, 2013)
Exposure draft update of the Large Group Medical Business Practice Note by the Large Group Medical Business Practice Note Work Group. (January 24, 2013)
Update by the Long-Term Care Practice Note Work Group of the 2003 Long-Term Care Practice Note relating to long-term care rate stability. (October 23, 2012)
Practice note by the Rate Review Practice Note Work Group on the preparation, review, and disclosure of rate filings under the Affordable Care Act. (October 9, 2012)
Exposure draft of a practice note related to the preparation and review of rate filings under the Affordable Care Act. Comments on Actuarial Practices Relating to Preparing, Reviewing, and Commenting on Rate Filings Prepared in Accordance with the Affordable Care Act should be submitted by September 4. (July 23, 2012)
Exposure draft of the long-term care rate stability practice note.  (June 8, 2012)
Health Practice Financial Reporting Committee practice note on the Revised Actuarial Statement of Opinion Instructions of the NAIC Health Annual Statement that went into effect Dec. 31, 2010. This practice note is intended to help actuaries both understand and comply with new requirements issued by the NAIC regarding health annual statement filings. (January 1, 2011)
Health Practice Financial Reporting Committee practice note on practices for preparing health contract reserves. (September 30, 2010)
Health Practice Financial Reporting Committee practice note on actuarial certification of restrictions relating to premium rates in the small group market.  (December 31, 2009)
PLEASE NOTE: This practice note was superceded by the 2011 practice note on the Revised Actuarial Statement of Opinion Instructions of the NAIC Health Annual Statement that went into effect Dec. 31, 2010.

Practice Note created by the Health Practice Financial Reporting Committee on the revised actuarial statement of opininon instructions. (September 30, 2009)
Medicare Part D Accounting Practice Note Subgroup practice note describing some of the current practices used by U.S. health actuaries with respect to work involving valuation, accounting, and financial reporting for Medicare Part D products. (April 8, 2008)
Practice note issued by the The Actuarial Equivalence PDP/MA-PD Practice Note Work Group on the actuarial equivalence for private prescription drug plans under Medicare Part D. The practice note addresses the procedural and professional aspects that require certification by CMS of an Academy member that a prescription drug plan or Medicare Advantage prescription drug plan meets the actuarial equivalence standard.  (March 6, 2008)
Practice note created by the Disease Management Work Group to describe some of the current practices used by U.S. health actuaries with respect to work involving disease management programs. (December 31, 2007)
Practice note created by a subgroup of the Health Practice Financial Reporting Committee providing a description of some of the current practices used by health actuaries in the United States for determining actuarial reserves and liabilities for Group Long Term Disability Income business. (August 1, 2006)
Practice note created by the Actuarial Equivalence Retiree Practice Note Work Group providing advisory guidance to actuaries attesting to the actuarial equivalence of a plan sponsor's retiree health plans for payments to sponsors of retiree prescription drug plans. (March 8, 2006)